Online Job Application - Charles Hamilton Co.

Personal Information

*Name

*Address

*City

* State

*Zip

*Phone Number

Alt. Phone Number

*Email Address

Are You a U.S. Citizen?

If No, are you authorized to work in this country?

Have You Ever Been Convicted of a Felony?

If Yes, When and Please Explain

Have you ever worked for this company?

What experiences or skills qualify you to work here?

If Selected for Employment Are You Willing to Submit to a Pre-Employment Drug Screening Test?

* Position You are Applying For

*Available Start Date

*Desired Pay

The normal working hours of the company vary, including Saturdays. Are you available to work during these times?

Education

High School #1

School Name

Location

Dates Attended

Degree Received?

High School #2

School Name

Location

Dates Attended

Degree Received

College #1

School Name

Location

Dates Attended

Degree Received?

Major

College #2

School Name

Location

Dates Attended

Degree Received?

Major

References

Reference #1

Name

Relationship

Years Known

Phone

Can we contact them for reference?

Reference #2

Name

Relationship

Years Known

Phone

Can we contact them for reference?

Reference #3

Name

Relationship

Years Known

Phone

Can we contact them for reference?

Reference #4

Name

Relationship

Years Known

Phone

Can we contact them for reference?

Employment History

Employer #1

Employer

Job Title

Dates Employed

Work Phone

Reason for Leaving

Ending Pay rate

Address

City

State

Zip

Can we contact them for reference?

Employer #2

Employer

Job Title

Dates Employed

Work Phone

Reason For Leaving

Ending Pay Rate

Address

City

State

Zip

Can we contact them for reference?

Employer #3

Employer

Job Title

Dates Employed

Work Phone

Reason for Leaving

Ending Pay Rate

Address

City

State

Zip

Can we contact them for reference?

Employer #4

Employer

Job Title

Dates Employed

Work Phone

Reason for Leaving

Ending Pay Rate

Address

City

State

Zip

Can we contact them for reference?

Equipment Operating & Labor Abilities

If you are applying for an operator or labor position, please rate yourself in each category that follows the trade in which you are skilled. Please rate yourself with a number 1-5 that best describes your experience and skill level.

1 = No Experience
2 = Some Experience
3 = Average
4 = Above Average
5 = Excellent

Operator Position

Earthwork Crew

D6 size and up Dozer

1

2

3

4

5

D6 size and smaller Dozer

1

2

3

4

5

GPS Machine Control on Dozer, Grader, etc.

1

2

3

4

5

Track Loader (Grading)

1

2

3

4

5

Excavator (Loading Trucks)

1

2

3

4

5

627 Scraper

1

2

3

4

5

Tractor & Pull Pan Scraper

1

2

3

4

5

Off Road Truck

1

2

3

4

5

Sheepsfoot Compactor

1

2

3

4

5

Tractor with Disc or Grade Box

1

2

3

4

5

Soil Stabilizer

1

2

3

4

5

Motor Grader

1

2

3

4

5

Underground Utility Crew

Track Excavator (Digging Pipe Trench)

1

2

3

4

5

Track Loader (Backfill Ditches)

1

2

3

4

5

Vibratory Sheepsfoot Compactor

1

2

3

4

5

Wheel Loader

1

2

3

4

5

Trencher

1

2

3

4

5

Directional Boring Machine

1

2

3

4

5

Miscellaneous

Curb Machine

1

2

3

4

5

Skid Steer

1

2

3

4

5

Mini-Hoe

1

2

3

4

5

Rubber Tire Backhoe

1

2

3

4

5

Laborer Position

General Labor

Shovel

1

2

3

4

5

Carry/ Lift Heavy Objects

1

2

3

4

5

Jack Hammer

1

2

3

4

5

Underground Utility Crew

Set Up Pipe Laser

1

2

3

4

5

Set Up Line Transit

1

2

3

4

5

Pipe Layer

1

2

3

4

5

Water Tap Installation

1

2

3

4

5

Concrete Crew

Shovel / Rake Concrete

1

2

3

4

5

Finish Curb

1

2

3

4

5

Finish Flatwork

1

2

3

4

5

Curb / Flatwork Forming

1

2

3

4

5

Wall Forming (Panels)

1

2

3

4

5

Steel Tying for Reinforced Concrete

1

2

3

4

5

Surveying

G.P.S. Rover Unit and/or Base Station Set up

1

2

3

4

5

Grade Checking

1

2

3

4

5

Set Grade Stakes

1

2

3

4

5

Mechanic

Heavy Equipment Mechanic

1

2

3

4

5

Automobile / Truck Mechanic

1

2

3

4

5

Hydraulic Systems Repair

1

2

3

4

5

Diesel Engine Repair

1

2

3

4

5

Field Mechanic Abilities

1

2

3

4

5

Welding

1

2

3

4

5

CDL License

Class A

1

2

3

4

5

Class B

1

2

3

4

5

Use a Manual Transmission

1

2

3

4

5

Pull a Fifth Wheel Trailer

1

2

3

4

5

Operate a Truck with Air Brakes

1

2

3

4

5

Move Equipment with a Dump Truck and Pintle Trailer

1

2

3

4

5

Move Equipment with a Low Boy Trailer

1

2

3

4

5

Haul Material with a Dump Truck

1

2

3

4

5

Use a Truck Mounted Crane

1

2

3

4

5

Signature Disclaimer Header

I certify that my answers are true and complete to the best of my knowledge. If this application leads to employment, I understand that false or misleading information in my application or interview may result in my release. As a condition of employment, I understand that the Charles H. Hamilton Co. reserves the right to completely investigate and verify all information contained in this application. I agree to indemnify and save harmless the Charles H. Hamilton Co. from and against any liabilities, claims, attorney fees, costs, causes of action, or other liability arising directly or indirectly from, or associated with this employment application.

I agree to conform to the rules and regulations of the Charles H. Hamilton Co., and I understand that, if hired, my employment and compensation can be terminated, with or without cause, and with or without notice, at any time, at the option of either Charles H. Hamilton Co. or myself.

*Name

*Signature

clear* Today's Date